IndividualActive
Sergio Varela Kellesarian, DDS
NPI 1972032324 · Dentist · Pembroke Pines, FL
Provider details
- NPI number
- 1972032324
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12634 Pines Blvd
Pembroke Pines, FL 33027-1712
Phone: (954) 430-2300
Street-level locationGet directions
Mailing address
12634 Pines Blvd
Pembroke Pines, FL 33027-1712
Additional practice locations (1)
- 625 Elmwood AvenueBox 683Rochester, NY 14620Phone: (585) 275-8315
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2022-07-21
- Certified
- 2020-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.